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Sacral nerve stimulation.

K E Matzel1, U Stadelmaier, M Besendörfer

  • 1Chirurgische Klinik der Universitat Erlangen, Erlangen, Germany.

Acta Chirurgica Iugoslavica
|March 18, 2005
PubMed
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Sacral neuromodulation (SNS) effectively treats fecal incontinence by stimulating sacral nerves. This therapy enhances anorectal function and has been successfully applied to over 1300 patients since 1994.

Area of Science:

  • Neurology
  • Gastroenterology
  • Pelvic Floor Medicine

Background:

  • Fecal incontinence significantly impacts quality of life.
  • Current treatments for fecal incontinence have limitations.
  • Sacral nerve stimulation (SNS) offers a therapeutic option by modulating nerve function.

Purpose of the Study:

  • To describe the mechanism and evolution of sacral neuromodulation for fecal incontinence.
  • To highlight the rationale behind using SNS for fecal incontinence.
  • To present the current status and expanded indications of SNS in managing fecal incontinence.

Main Methods:

  • Sacral spinal nerves are stimulated at the sacral canal.
  • The technique targets the dual peripheral nerve supply of pelvic floor muscles.

Related Experiment Videos

  • Patient selection and the SNS technique have been refined since 1994.

    • Main Results:

    • SNS improves bowel habits and anorectal continence.
    • The therapy increases anorectal angulation and anal canal closure pressure.
    • Over 1300 patients with fecal incontinence have been treated with SNS.

    Conclusions:

    • Sacral neuromodulation is a viable and improved treatment for fecal incontinence.
    • The dual innervation of pelvic floor muscles supports SNS efficacy.
    • SNS has a growing spectrum of indications and a successful track record.